A population-based sample of NHW, black, and Hispanic women who had been diagnosed with invasive BC at age 50 years or younger from 2009 to 2012 were recruited through the state cancer registry. Multiple logistic regression was used to compare cancer risk-management practices in BRCA carriers and associations of demographic and clinical variables with provider discussion and receipt of testing.

The current results suggest that the rates of risk-reducing salpingo-oophorectomy are lower among black BRCA carriers compared with their Hispanic and NHW counterparts, which is concerning because benefits from genetic testing arise from cancer risk-management practice options. Furthermore, lower BRCA testing rates among blacks may partially be because of a lower likelihood of provider discussion. Future studies are needed to improve cancer risk identification and management practices across all populations to prevent the widening of disparities.

Among BRCA carriers, the lower rates of risk-reducing salpingo-oophorectomy among blacks compared with Hispanics and non-Hispanic whites is concerning and may reduce benefits from genetic testing. Furthermore, lower rates of BRCA testing among blacks may be attributed in part to lower likelihood of provider discussion, suggesting the need to develop and implement multilevel interventions.